Poliomyelitis Essay

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Brief summary of poliomyelitis
The purpose of this paper is identifying poliomyelitis which is a fecal-oral group communicable disease worldwide and discussing health interventions to control and eliminate outbreaks and considering ethical dilemmas. The pathogen of poliomyelitis is poliovirus, an enterovirous that is transmitted by fecal-oral route through feces. Respiratory inhalation occurs and the virus initially replicates in the oro-pharynx and then invades the gastrointestinal tract. It can be transmitted via fecal-oral, airborne, water-borne processes, and asymptomatic carrier. (WHO, 2009) Clinical manifestations range from asymptomatic self-limited disease and mild symptoms of combined fever, malaise, fatigue, nausea, headache,
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(WHO, 2010) Poliomyelitis has no cure but can be prevented through vaccination of young children. (Infection Control Today, 2007) Poliomyelitis was basically eradicated since wide spread vaccination programs began for children. The World Health Organization (WHO), United Nations International Children's Emergency Fund (UNICEF), Rotary International, and the US Centers for Disease Control (CDC) started and commenced a global polio eradication initiative. The global effort of building effective surveillance and immunization systems worldwide has extended capacities. Eradication efforts come from aggressive research and education. (WHO, 2010)
The vaccine regimen consists of three doses of inactivated polio vaccine (IVP) at 2 months, 3 months, and 4 months of age, with booster dose at 15 years of age. Live oral polio vaccine (OPV) is more effective because it provides intestinal protection in addition to humeral immunity. Public health care workers also can provide supportive care to the patients dealing with symptoms. (Barbara B., Stephen G. & Jane, J.2006) It is essential to maintain vaccinations in countries that are not endemic and also for people who plan to travel to countries where poliomyelitis is endemic. Prevention can also be achieved by improving personal hygiene, testing and regulating water supplies, and building and improving sanitation facilities. (Webber, R., 2010).
Concepts for controlling an outbreak Communicable disease

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